Suppr超能文献

应用基于环介导等温扩增的实时荧光 PCR 和巢式实时荧光 PCR 检测临床标本中的荚膜组织胞浆菌。

Detection of Histoplasma capsulatum from clinical specimens by cycling probe-based real-time PCR and nested real-time PCR.

机构信息

Medical Mycology Research Center, Chiba University, Chiba, Japan

Research Unit for Risk Analysis, Diagnostic Center for Animal Health and Food Safety, Obihiro University of Agriculture and Veterinary Medicine, Hokkaido, Japan.

出版信息

Med Mycol. 2016 May;54(4):433-8. doi: 10.1093/mmy/myv106. Epub 2015 Dec 24.

Abstract

We developed new cycling probe-based real-time PCR and nested real-time PCR assays for the detection of Histoplasma capsulatum that were designed to detect the gene encoding N-acetylated α-linked acidic dipeptidase (NAALADase), which we previously identified as an H. capsulatum antigen reacting with sera from patients with histoplasmosis. Both assays specifically detected the DNAs of all H. capsulatum strains but not those of other fungi or human DNA. The limited of detection (LOD) of the real-time PCR assay was 10 DNA copies when using 10-fold serial dilutions of the standard plasmid DNA and 50 DNA copies when using human serum spiked with standard plasmid DNA. The nested real-time PCR improved the LOD to 5 DNA copies when using human serum spiked with standard plasmid DNA, which represents a 10-fold higher than that observed with the real-time PCR assay. To assess the ability of the two assays to diagnose histoplasmosis, we analyzed a small number of clinical specimens collected from five patients with histoplasmosis, such as sera (n = 4), formalin-fixed paraffin-embedded (FFPE) tissue (n = 4), and bronchoalveolar lavage fluid (BALF) (n = 1). Although clinical sensitivity of the real-time PCR assay was insufficiently sensitive (33%), the nested real-time PCR assay increased the clinical sensitivity (77%), suggesting it has a potential to be a useful method for detecting H. capsulatum DNA in clinical specimens.

摘要

我们开发了一种新的基于循环探针的实时 PCR 和巢式实时 PCR 检测方法,用于检测荚膜组织胞浆菌,该方法旨在检测编码 N-乙酰化α-连接酸性二肽酶(NAALADase)的基因,我们之前发现该基因是荚膜组织胞浆菌抗原,与组织胞浆菌病患者的血清反应。两种检测方法均特异性检测所有荚膜组织胞浆菌菌株的 DNA,但不检测其他真菌或人 DNA。实时 PCR 检测的检测限(LOD)为 10 拷贝 DNA,使用标准质粒 DNA 的 10 倍系列稀释液;当用人血清加标标准质粒 DNA 时,LOD 为 50 拷贝 DNA。巢式实时 PCR 将检测限提高至 5 拷贝 DNA,用人血清加标标准质粒 DNA,比实时 PCR 检测提高了 10 倍。为了评估两种检测方法诊断组织胞浆菌病的能力,我们分析了从 5 例组织胞浆菌病患者采集的少量临床标本,如血清(n = 4)、福尔马林固定石蜡包埋(FFPE)组织(n = 4)和支气管肺泡灌洗液(BALF)(n = 1)。尽管实时 PCR 检测的临床灵敏度不够高(33%),但巢式实时 PCR 检测提高了临床灵敏度(77%),这表明它有可能成为检测临床标本中荚膜组织胞浆菌 DNA 的有用方法。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验